Early Feeding After a Total Abdominal Hysterectomy

Background: Oral fluids and food are traditionally introduced slowly after total abdominal hysterectomy (TAH). This descriptive study examined the effect and tolerance of early oral intake following this surgery. Methods: A retrospective chart review was conducted on 164 patients who had been on a clinical pathway following TAH. Comparisons in initiation of fluids and foods, and gastrointestinal effects were made between the early fed group (n=82) and the traditionally fed group (n=82). Results: Both groups had the similar gastrointestinal symptoms postoperatively, but the early fed group had an earlier bowel movement. The early fed group had a statistically significant shorter length of stay. Similar usage of anti-nausea medication and pain medication usage was noted between the two groups, except for a lower usage of Tylenol #3 (acetaminophen with codeine) in the early fed group. Conclusions: This study found that early feeding could be tolerated well in TAH patients, with statistically significant improvements in usage of some pain medication and length of stay were noted in the early fed group

Grammatical Morphology in School-Age Children With and Without Language Impairment: A Discriminant Function Analysis

Purpose: The purpose of this study was to test Bedore and Leonard\u27s (1998) proposal that a verb morpheme composite may hold promise as a clinical marker for specific language impairment (SLI) in English speakers and serve as an accurate basis for the classification of children with and without SLI beyond the preschool level. Method: The language transcripts of 50 school-age children with SLI (Mage = 7;9 [years;months]) and 50 age-matched typically developing peers (Mage = 7;9) were analyzed. Following the Bedore and Leonard (1998) procedure, 3 variables were measured: a finite verb morpheme composite, a noun morpheme composite, and mean length of utterance in morphemes (MLUm). Results: Overall findings indicated that neither grammatical morpheme composite alone adequately discriminated the groups at this developmental level. However, combining the verb and noun grammatical morpheme composite measures with MLUm resulted in good discriminant accuracy in classifying subgroups of the youngest children with and without SLI in the school-age sample. Conclusion: Verb morphology alone is not a useful clinical marker of SLI in school-age children. Potential explanations for these findings and ideas for future research are discussed

Grammatical Morphology in School-Age Children With and Without Language Impairment: A Discriminant Function Analysis

Purpose: The purpose of this study was to test Bedore and Leonard\u27s (1998) proposal that a verb morpheme composite may hold promise as a clinical marker for specific language impairment (SLI) in English speakers and serve as an accurate basis for the classification of children with and without SLI beyond the preschool level. Method: The language transcripts of 50 school-age children with SLI (Mage = 7;9 [years;months]) and 50 age-matched typically developing peers (Mage = 7;9) were analyzed. Following the Bedore and Leonard (1998) procedure, 3 variables were measured: a finite verb morpheme composite, a noun morpheme composite, and mean length of utterance in morphemes (MLUm). Results: Overall findings indicated that neither grammatical morpheme composite alone adequately discriminated the groups at this developmental level. However, combining the verb and noun grammatical morpheme composite measures with MLUm resulted in good discriminant accuracy in classifying subgroups of the youngest children with and without SLI in the school-age sample. Conclusion: Verb morphology alone is not a useful clinical marker of SLI in school-age children. Potential explanations for these findings and ideas for future research are discussed

Understanding Ecommerce Consumer Privacy From the Behavioral Marketers\u27 Viewpoint

Ecommerce sales were expected to increase to $4.8 trillion dollars in 2021 for online retailers in the United States. Behavioral marketers increase sales and revenue by targeting potential customers based on the use of ecommerce consumers\u27 personal information. This correlational research study was framed with the theory of planned behavior. The participants were behavioral marketers based in the United States who completed an online survey. The data were analyzed using multiple regressions and analysis of variance analyses to answer the research question. The results of the analysis answered the research question regarding the correlation between behavioral marketer\u27s attitudes, social norms, and perceived behavioral control (PBC), especially concerning the collection of ecommerce consumers\u27 personal information. The results of the analyses indicated attitude is a strong predictor for behavior intention, as indicated by a positive correlation. The ρ value was greater than .05; therefore, the null hypothesis was rejected. The social norms and PBC variables were not significant. Social norms resulted in F (14,18) = 2.298, ρ = .026. The p value is less than .05; therefore, the null hypothesis was accepted. PBC results were F (78,5) = 4.263, ρ = .048. The p value was less than .05; therefore, the null hypothesis was accepted. The findings showed that behavioral marketers have a strong correlation between their attitude and intention to protect ecommerce privacy. Behavioral managers might benefit from this study and contribute to social change by taking the lead in their organizations to change data collection methods to reduce the number of security breaches

Technical Quality and Engagement in a Hybrid Communication Course

Hybrid courses combine face-to-face and online students in an instructor-led synchronous session supported by internet-based video conferencing. Instructional technology selection models theorize that a minimum level of technical quality as well as two-way interaction between instructors and students are needed to achieve engaging and effective learning in the hybrid context (Caladine, 2008; Huddlestone & Pike, 2008). The study reported in this paper was conducted in two sections of a hybrid communication course and focused on technical quality and student engagement with the instructor and classmates. A theoretical model of a “learning threshold” was advanced, suggesting that richer media might support higher levels of student engagement. A mixed methods approach was used that incorporated coding ten recorded webinar sessions for instructor and student technical quality and use of video, audio, and chat-window text. A student survey (n = 12) was also used to determine student uses of technology, technical quality, and the level of engagement with the instructor and classmates. The findings suggest that the hybrid communication courses have fair to high levels of technical quality for both instructor and student connections. Students elected not to share video, but did participate using both audio and text. Despite occasional technical issues with connecting and audio, the majority of students reported they were at least “mostly engaged” with both the professor and classmates. The interaction occurring in the hybrid sessions examined in this study did support both student-instructor and student-student engagement. The levels of student engagement reported in this study suggest that the hybrid instructional format is a viable option for meeting students’ needs for flexible learning environments that incorporate synchronous meetings.https://fuse.franklin.edu/ss2014/1009/thumbnail.jp

Gourmet Gamification: Creating Meaningful Classroom Simulations as a Student Project

Engaging students and providing meaningful learning experiences that connect to professional contexts is a challenge met in part through the use of simulations and games. Students from Interactive Media Design {IMD) created interactive learning games for Communication (COMM) and Public Relations {PR) courses.https://fuse.franklin.edu/ss2016/1028/thumbnail.jp

Orofacial Manifestations of Lyme Disease: A Systematic Review

Purpose: Several orofacial symptoms of Lyme disease can affect anatomical structures of the head and neck which are frequently examined by dental professionals. The purpose of this systematic review was to examine the literature to identify the frequencies of orofacial manifestations documented in U.S. populations with Lyme disease. Methods: Four electronic databases (Dentistry and Oral Sciences, PubMed, Cinahl Plus, and Medline) were systematically searched from May 2019 until October 2019 using keywords and MeSH terms to identify relevant studies. The review followed guidelines set forth in Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). A modified version of the Cochrane Data Collection Form for Randomized Control Trials and Non-randomized Control Trials was used to asses quality. Results: An initial search extracted 217,381 articles; 43 met inclusion/exclusion criteria and were reviewed for quality. Twelve articles published from 1992-2017 were deemed appropriate for inclusion in the systematic review. All were from non-dental journals and represented mostly male populations from less than half (n=6) of the endemic states. A total of eight orofacial manifestations occurring within head/neck regions often examined by dental professionals were documented: headache (n=11, 92%), facial palsy (n=11, 92%), temporomandibular joint arthralgia (n=2, 17%), altered taste (n=1, 8%), stiff neck (n=4, 33%), sore throat (n=1, 8%), neck pain/arthralgia (n=5, 42%), and erythema migrans rash (n=1, 8%). Conclusion: Current research regarding orofacial manifestations of Lyme disease is needed so that this medical phenomenon can be well understood by dental professionals in order to best serve their patients